Polish Society of Gynecologists and Obstetricians Recommendations on diagnosis and management of fetal growth restriction

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Recommendations present the current management, that may be modified and changed in certain cases, after a thorough analysis of a given clinical situation, which in the future may be the basis for their modification and actualization. SUMMARY OF THE RECOMMENDATIONS Definitions Fetal Growth Restriction (FGR)-a synonim for intrauterine growth restriction (IUGR)< 32 weeks -early-onset FGR; > 32 -late onset FGR Hypotrophy -a term related to a newborn with growth restriction Ginekologia Polska 2020, vol.91, no. 10 www. journals.viamedica.pl/ginekologia_polskaings and ultrasound assessment.In the absence of previous indications, delivery is recommended not later than week 37. ABBREVIATIONS AND DEFINITIONS AC -abdominal circumference AEDV -absent end diastolic velocity AGA -appropriate for gestational age -fetuses and neonates with estimated fetal weight and neonatal weight between the 10-90 percentile AOR -adjusted odds ratio APLS -antiphospholipid syndrome ARR -adjusted relative risk BMI -body mass index BPD -biparietal diameter CPR -cerebro-placental ratio CRL -crown-rump-length DV -Ductus Venous Early-onset FGR -early onset growth restriction, onset before 32 weeks of gestation FGR -fetal growth restriction -is the failure of the fetus to achieve the programmed birth weight after excluding internal factors (chromosomal aberrations, infections, birth defects) FL -femur length HC -head circumference Hypotrophy -a term related to a newborn born with growth restriction IUGR -intrauterine growth restriction -synonym of FGR Late-onset FGR -late onset fetal growth restriction, onset after 32 weeks of gestation LGA -large for gestational age -fetuses and neonates with estimated fetal weight and neonatal weight above the 90 centile MCA -middle cerebral artery OR -odds ratio PlGF -placental growth factor REDV -reverse end diastolic velocity RR -relative risk SGA -small-for-gestational-age -fetuses with estimated weight (EFW) on ultrasound between the 3 rd and 10 th percentile for gestational age without signs of growth failure or newborns with birth weight below the 10 th percentile TORCH -Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex UA -umbilical artery UtA -uterine artery ARSA -aberrant right subclavian artery AIMThe aim of these recommendations is to present FGR management principles based on currently available scientific evidence and clinical experience.

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